Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $194.98	Facility	26	$85.11	$85.11	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,230.27	Professional		$331.13	$478.63	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $125.89 / $354.81	Professional	26	$67.61	$125.89	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $707.95	Professional	TC	$263.03	$338.84	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $72.44	Professional	26	$52.48	$64.57	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $602.56 / $954.99	Professional		$316.23	$602.56	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $104.71 / $158.49	Professional	26	$69.18	$104.71	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $478.63 / $851.14	Professional	TC	$251.19	$478.63	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $831.76 / $1,584.89	Professional		$389.05	$831.76	$1,584.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $177.83	Professional	26	$72.44	$104.71	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $660.69 / $1,318.26	Professional	TC	$309.03	$660.69	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $1,479.11	Professional		$354.81	$691.83	$1,479.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $91.20 / $158.49	Professional	26	$72.44	$91.20	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $562.34 / $1,318.26	Professional	TC	$275.42	$562.34	$1,318.26